中华耳科学杂志Issue(1)：91-95,5.DOI:10.3969/j.issn.1672-2922.2013.01.021
阻塞性睡眠呼吸暂停低通气综合征患者术后听觉功能的研究
Auditory Function after Surgical Treatments in Adult Patients with Severe OSAHS
摘要
Abstract
Objective To investigate the effect of upper respiratory tract surgical treatments on the auditory function in adult patients with severe OSAHS. Methods The OSAHS group included 73 adult patients with severe OSAHS, and the control group included 20 non-snoring healthy people, Polysomnography monitoring (PSG), pure tone audiometry, tympa⁃nometry, auditory brainstem responses (ABR) and otoacoustic emissions (OAE) were performed in control group subjects and in patients in the OSAHS group before and 6 months after surgical treatments. Results 1) Of the 73 patients who under⁃went surgical treatments, symptoms resolved in 48 patients, significantly improved in 22 patients and somewhat improved in 3 patients at 6 months followed-up, yielding a total effective rate of 100%. 2) There were no significant differences in hear⁃ing thresholds across 250 to 4000 Hz on pure tone audiometry between the OSAHS and the control group (P > 0.05), al⁃though hearing thresholds at high frequencies showed significant differences (P<0.05). 3) The latencies of ABR waves I and V in the OSAHS group were significantly longer than in the control group (P<0.05), and showed no significant differ⁃ence before and after surgery (P>0.05) . 4) DPOAE detection rate and amplitudes at all frequencies were poorer in the OSAHS group before surgery compared with the control group (P<0.05) and showed significant changes after surgical treat⁃ ments (P < 0.05). Conclusion OSAHS can impair auditory function, probably from chronic hypoxia, which can be im⁃proved by surgical treatments in adult patients with severe OSAHS.关键词
成年人/阻塞性睡眠呼吸暂停低通气综合征/上呼吸道多平面分期手术/听觉功能/康复Key words
adult/obstructive sleep apnea-hypopnea syndrome/surgical treatment of upper respiratory tract/auditory function/recovery分类
医药卫生引用本文复制引用
杨秀海,熊小茜,郭静,王幼勤,崔毅,梁秋林..阻塞性睡眠呼吸暂停低通气综合征患者术后听觉功能的研究[J].中华耳科学杂志,2013,(1):91-95,5.基金项目
贵阳市社会发展领域科研项目[(2010)筑科农合同字第1-社-30号 （2010）
